Provider Demographics
NPI:1568100469
Name:WILKINS GREEN, ALANDRIA
Entity Type:Individual
Prefix:
First Name:ALANDRIA
Middle Name:
Last Name:WILKINS GREEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 CARROLL ST APT 1
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4563
Mailing Address - Country:US
Mailing Address - Phone:845-543-7918
Mailing Address - Fax:
Practice Address - Street 1:77 CARROLL ST APT 1
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4563
Practice Address - Country:US
Practice Address - Phone:845-543-7918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-22
Last Update Date:2022-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company